Active NPI
Rizwan R Khan, MD
- Pediatrics Physician
- Hopkinsville, KY
National Provider Identifier
1780648592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34352
- Practice address
- 1724 Kenton St
Suite 2D
Hopkinsville, KY 42240-1981 - Phone
- (270) 886-1544
- Fax
- (270) 886-6305
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34352 | KY | Primary |
Addresses
Primary practice location
1724 Kenton St
Suite 2D
Hopkinsville, KY 42240-1981
Mailing address
1724 Kenton St
Suite 2D
Hopkinsville, KY 42240-1981
Phone (270) 886-1544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000052003 | Other | KY | ANTHEM |
| 64334253 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1780648592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 KENTON ST",
"address_2": "SUITE 2D",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422401981",
"telephone_number": "270-886-1544",
"fax_number": "270-886-6305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 KENTON ST",
"address_2": "SUITE 2D",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422401981",
"telephone_number": "270-886-1544",
"fax_number": "270-886-6305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "RIZWAN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "34352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000052003",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64334253",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.